Lauren Marie Gambino, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

061889 Issued in NY

Practice address

1 Kendall Way
Ballston Spa, NY 12020-4399

Phone

(518) 899-6063

NPI assigned

Apr 18, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Golub Corporation

  • Community/Retail Pharmacy
  • Malta, NY
  • NPI 1477855229
  NPD (past)
• Golub Corporation

  • Community/Retail Pharmacy
  • Burlington, VT
  • NPI 1083727002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1134782865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WATERS VIEW CIR",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120475201",
            "telephone_number": "518-928-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENDALL WAY",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120204399",
            "telephone_number": "518-899-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "061889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senia Fleming
• Maureen J Forsyth, LCSW-R
• Nicole Anne Fruscio, MS, OTR/L, CLT
• Jan P Fugal, DDS
• Margaret Mary Funiciello, MS CCC SLP
• Krista Nicole Gardner, PA-C
• Cheryl J Garrant, OTR/L
• Vita Gatitskiy
• Kristen Gawrys
• Leonard Mark Gelman, M.D.

• Pharmacist in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.